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Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties

Anxious-withdrawal is a well-established individual risk factor for psychosocial difficulties during adolescence. It is unknown, however, whether it also places youth at increased risk for physical health problems, such as sleep difficulties. This study examines the concurrent and prospective associ...

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Autores principales: Bowker, Julie C., Gurbacki, Jessica N., Richard, Chloe L., Rubin, Kenneth H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10525876/
https://www.ncbi.nlm.nih.gov/pubmed/37754018
http://dx.doi.org/10.3390/bs13090740
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author Bowker, Julie C.
Gurbacki, Jessica N.
Richard, Chloe L.
Rubin, Kenneth H.
author_facet Bowker, Julie C.
Gurbacki, Jessica N.
Richard, Chloe L.
Rubin, Kenneth H.
author_sort Bowker, Julie C.
collection PubMed
description Anxious-withdrawal is a well-established individual risk factor for psychosocial difficulties during adolescence. It is unknown, however, whether it also places youth at increased risk for physical health problems, such as sleep difficulties. This study examines the concurrent and prospective associations between anxious-withdrawal and six types of sleep difficulties (i.e., sleeping too much, sleeping too little, talking/walking in sleep, being overtired, nightmares, and general trouble sleeping). We further evaluate whether these associations differ for adolescents who are high versus low in exclusion and victimization. The participants were 395 adolescents (M(age) = 13.61 years; 35% ethnic minority) who completed peer nominations of anxious-withdrawal, exclusion, and victimization at Time 1 (T1). Their mothers completed reports of sleep difficulties at T1 and at Time 2 (T2). Path analyses revealed unique associations between anxious-withdrawal and several types of sleep difficulties (e.g., sleeping too much) at T1. Analyses also revealed a significant interaction effect between T1 anxious-withdrawal and exclusion/victimization such that anxious-withdrawal was prospectively associated with trouble sleeping only for those young adolescents who are highly excluded/victimized. Our findings are the first to link anxious-withdrawal to a physical health outcome in adolescence and point to the need for future research to not only examine anxious-withdrawal and physical health but also to include assessments of peer difficulties.
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spelling pubmed-105258762023-09-28 Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties Bowker, Julie C. Gurbacki, Jessica N. Richard, Chloe L. Rubin, Kenneth H. Behav Sci (Basel) Article Anxious-withdrawal is a well-established individual risk factor for psychosocial difficulties during adolescence. It is unknown, however, whether it also places youth at increased risk for physical health problems, such as sleep difficulties. This study examines the concurrent and prospective associations between anxious-withdrawal and six types of sleep difficulties (i.e., sleeping too much, sleeping too little, talking/walking in sleep, being overtired, nightmares, and general trouble sleeping). We further evaluate whether these associations differ for adolescents who are high versus low in exclusion and victimization. The participants were 395 adolescents (M(age) = 13.61 years; 35% ethnic minority) who completed peer nominations of anxious-withdrawal, exclusion, and victimization at Time 1 (T1). Their mothers completed reports of sleep difficulties at T1 and at Time 2 (T2). Path analyses revealed unique associations between anxious-withdrawal and several types of sleep difficulties (e.g., sleeping too much) at T1. Analyses also revealed a significant interaction effect between T1 anxious-withdrawal and exclusion/victimization such that anxious-withdrawal was prospectively associated with trouble sleeping only for those young adolescents who are highly excluded/victimized. Our findings are the first to link anxious-withdrawal to a physical health outcome in adolescence and point to the need for future research to not only examine anxious-withdrawal and physical health but also to include assessments of peer difficulties. MDPI 2023-09-05 /pmc/articles/PMC10525876/ /pubmed/37754018 http://dx.doi.org/10.3390/bs13090740 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bowker, Julie C.
Gurbacki, Jessica N.
Richard, Chloe L.
Rubin, Kenneth H.
Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties
title Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties
title_full Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties
title_fullStr Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties
title_full_unstemmed Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties
title_short Anxious-Withdrawal and Sleep Problems during Adolescence: The Moderating Role of Peer Difficulties
title_sort anxious-withdrawal and sleep problems during adolescence: the moderating role of peer difficulties
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10525876/
https://www.ncbi.nlm.nih.gov/pubmed/37754018
http://dx.doi.org/10.3390/bs13090740
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